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Image Archiving, Retrieval, Viewing & PACS – A Personal View!. Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust. PACS Is Just…. A picture repository A large data store Pretty thick as a computer systems go Immature RIS/PACS not yet nuclear medicine compliant
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Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust
PACS Is Just….. • A picture repository • A large data store • Pretty thick as a computer systems go • Immature • RIS/PACS not yet nuclear medicine compliant • Too reliant on a still evolving Dicom standard
PACS Limitations… • Image display only • Unable to recall data to modality workstations • Nuclear medicine low priority in RIS/PACS
Local Need For… • Reviewing current patients studies with old • Reprocessing • New algorithms/methodology • Audit • R&D • Previous processing suspect • Reprinting/image transfer • Patient referral • Legal cases • Medical meetings
What We Have… • Archived data going back to 1990 • ADAC pegasys + Siemens icon file formats • On 3 different media over 3 hospital sites
What We Need … • Robust on line archive that … • Stores data in proprietary file format • Able to recall proprietary files to corresponding workstation for re-analysis • Able to view stored image data independent of platform • Able to output DICOM files
The Solution… • 1.6 terabyte RAID [SuSe Linux] • Pukka-J’s Dicom explorer
Benefits… • Creating a robust archive • Can always access the original proprietary file • Can rebuild Dicom database as Dicom develops • Images viewable on all hospital sites • Can add proprietary file conversion if required in the future
How It Works… • Locally written scripts move the last days images to the archive every night • Raid has a directory for each site • This could be sub divided to file platform • Pukka-j software makes a Dicom copy into a global directory
Is It Perfect??? • Nearly!! • Only as good as the quality of demographic data entry • Hopeful this will improve with Dicom work lists • ADAC Genesys acquisition bug!! • Local scripts need more error alerts/checks • Hospital network issues to address with PACS implementation
Is It Perfect??? • Like RIS/PACS it needs hands-on management • Pukka-J’s Dicom explorer • Supports all imaging modalities • Transaxial displays etc • Benefits of dealing with a small company • Incorporated our commonly used Pegasys colour tables • Developing home reporting package • Create generic patches